4,510 Independent Nursing Homes in the United States
4,510 of the 14,697 Medicare-certified nursing homes in the United States (31%) are independently owned, and all are listed below. 1309 of the 4490 graded homes earn an A and 280 earn a D or F. They average 4.25 nursing hours per resident per day, 0.39 hours above the 3.86 for every home in the United States. Mclean Health Center in Simsbury grades highest at A (100 out of 100).
How independently owned homes in the United States compare
This group set against every nursing home in the United States, from the current CMS release.
Nursing hours per resident per day
4.25
All homes in the United States: 3.86
Better than the local average
Nurse staff turnover
43.3%
All homes in the United States: 45.8%
Better than the local average
Average ElderGrade score
76.6/100
All homes in the United States: 73.5/100
Better than the local average
Grade spread
A
B
C
1,309 grade A, 1,865 grade B, 1,036 grade C, 279 grade D, 1 grade F
The best-graded independently owned home in the United States is
Mclean Health Center
in Simsbury, CT — grade A,
100/100.
Every independently owned nursing home in the United States
Vista Manor runs 3.14 nursing hours per resident day, roughly 19% under the national average of 3.86, and weekends dip another 3% below its own weekday staffing. Turnover sits at 30.5%, better than the 45.8% national figure, so the people who stay tend to stay. What stands out more is the inspection record: 29 deficiencies, six at harm or jeopardy level, two abuse-related, and $13,335 in fines, with the most recent look coming April 9, 2026. The 1/5 inspection rating against a 4/5 quality measure rating means the charted care metrics look better than what surveyors have actually found on site. For a 120-bed for-profit run by a limited liability company, that gap is the thing to ask about.
St. Annes runs a stable ship on the staffing side, 3.97 nurse hours per resident day, a bit above the national average, and a 25.8% turnover rate that's well below the typical 45.8%. Retention like that usually means consistent caregivers who know the residents. Weekends dip about 8% from weekday coverage, worth asking about if your family visits then. The tension sits in the inspection record: 18 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and $34,141 in fines across three incidents. The most recent survey closed in April 2025. Strong care metrics and staffing don't erase a rough survey history, ask to see the plan of correction for those two harm-level findings.
Bartram Crossing sits in Jacksonville with 100 certified beds and a nonprofit owner. Staffing is where it stands out: 4.43 nurse hours per resident day, roughly 15% above the national average, with weekend coverage only about 7% below its own weekday level. Turnover runs 28.4% against a national 45.8%, so aides and nurses are staying put more than elsewhere. The trouble is inspections. Thirteen deficiencies on the current record, three at harm or jeopardy level, one abuse-related, and the last visit was March 2026. Your family gets consistent daily care here, but the safety record is thin.
Orlando Health and Rehabilitation Center is a 391-bed nonprofit home where the staffing numbers tell two different stories. Nurses provide 3.37 hours per resident each day, about 13% under the national average, and weekends run slightly leaner than weekdays, but turnover sits at 31.4%, well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay. The inspection record is the harder problem: 67 deficiencies, including 5 at the harm level and 6 tied to abuse, with a $65,951 fine and a June 2025 inspection. One star for health inspections against four for staffing is an unusual split, and it's worth asking what those abuse citations involved before you decide.
The Commons at Orlando Lutheran Towers runs a nonprofit shop with 168 beds, and the staffing numbers hold up: 4.03 nurse hours per resident day, about 4% above the national average, with weekend coverage dipping roughly 8% below its own weekday level. Turnover sits at 41.7%, better than the 45.8% national figure, which matters over time more than any single month's numbers. Eleven deficiencies on the current record, none at harm or jeopardy level, none abuse-related, and the last inspection was January 8, 2026. All three CMS star categories come in at 4 out of 5. The honest read: steady, well-staffed, no red flags, though the weekend drop and the deficiencies are worth asking about on a tour.
Harbourwood runs about 3.49 nurse hours per resident per day, roughly 10% under the national average, and weekend coverage drops another 7% below its own weekday level. Staff turnover sits at 71.9% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record is the bigger concern: 37 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with seven fines totaling $65,599. A 1-out-of-5 inspection rating and a 2-out-of-5 staffing rating tell you where the problems concentrate, even though the quality measure score looks better. It's owned by a for-profit limited liability company, and the last inspection was December 2024.
Trinity Regional Rehab Center runs 120 beds under corporate ownership, and the staffing numbers are where I'd start: 3.49 nurse hours per resident day, roughly 10% under the national average, with weekends dipping about 6% below its own weekday coverage. Annual turnover sits at 48%, a bit above the 45.8% national figure, so the people caring for your family member are cycling through faster than average. The inspection record is the harder part, 18 deficiencies, three at harm or jeopardy level and one abuse-related, with a one-star health inspection rating and the most recent survey from November 2024. Quality measures score well, but that doesn't offset a thin, churning floor staff.
Legacy Pointe At Ucf runs 5.17 nurse hours per resident day, well above the national average of 3.86, though weekends dip about 12% below its own weekday coverage. That staffing comes with heavy churn: 71.3% annual turnover against a national average of 45.8%, meaning the people providing most of that care are frequently new. The inspection record shows 19 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $26,685 in fines and a March 2026 inspection date that's still recent enough to be relevant. A nonprofit corporation owns the 48-bed home. Strong quality measure scores don't erase a 2-star inspection rating.
Crisp Regional runs 143 certified beds as a nonprofit corporation, and the staffing numbers are the first thing worth noticing: 3.41 nurse hours per resident day sits about 12% under the national average of 3.86, with weekends dipping roughly another 12% below its own weekday levels. Turnover lands at 36.2%, which is actually better than the 45.8% national figure, a rare bright spot. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent inspection was March 2026, so the record is fresh. What pulls the overall picture down is the split in CMS ratings: a 4/5 on health inspections against just 1/5 on quality measures and 2/5 on staffing.
Westwood runs leaner than most homes on nursing hours, 3.24 per resident day against a national average of 3.86, and weekends drop further below its own weekday level. That thin coverage matters more when you look at the record: 15 deficiencies on file, though none reached harm or jeopardy and none involved abuse, and the last full inspection was in May 2025. The 47.9% turnover rate sits slightly above the national figure, so the aides and nurses working with your family member may not be the same faces month to month. The low quality measure score suggests the clinical outcomes being tracked aren't where they should be. Worth asking the administrator directly how they cover a weekend callout.
Carrollton Manor runs 100 beds under corporate ownership, and its staffing sits right at the national average, 3.89 nurse hours per resident day against 3.86. That thin margin disappears on weekends, when coverage drops about 11% below the home's own weekday level, and nearly half the staff turns over each year, slightly worse than the 45.8% national figure. The inspection record is where the real concern lives: 21 deficiencies, including one tied to abuse, and one-star ratings on both health inspections and quality measures. The most recent inspection was April 2025, so the picture is current. Ask about weekend coverage and what changed after that abuse citation before you decide.
Jeffersonville Care Center runs 131 beds under corporate ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is actually a bright spot at 34.6%, well under the 45.8% national figure. The inspection record is the concern: 19 deficiencies, including one at the harm level and three tied to abuse, with a $4,119 fine. The last inspection was February 2025. Quality measures rate mid-range; inspection and staffing ratings both sit at 2 out of 5.
Abbeville Crossing runs 101 certified beds under corporate ownership, and the staffing numbers are the first thing to notice. At 3.61 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 45.5% is essentially the national rate, meaning little continuity of caregivers. The inspection record is where it gets more serious: 21 deficiencies, five at harm or jeopardy level, three tied to abuse, and one fine of $87,910. The last inspection was January 2023, so that record is getting stale.
Franklin County Transitional Care runs on 5.01 nurse hours per resident day, roughly 30 percent above the national average, and its staff turnover of 27.1 percent sits well under the national 45.8 percent, people tend to stay here. Inspectors were in the building recently, in May 2025, and found 17 deficiencies, none of them serious enough to put a resident in immediate harm, though one was abuse-related, which is worth asking about directly. Weekend staffing dips about 10 percent below weekdays, a common pattern but one that matters if your family member needs help on a Saturday.
The state-run veterans home in Post Falls has real nursing hours behind it, 4.27 per resident day, roughly 11% above the national average, but that staffing drops about 13% on weekends, when families often visit. The bigger concern is who's providing that care: turnover runs at 69.8%, well above the national rate of about 45.8%, meaning nearly seven in ten staff left over the past year. Inspections tell a harder story. The home's most recent inspection was August 2025, and its record carries 19 deficiencies, including 2 at the harm level and 3 tied to abuse. Two fines total $36,855. Strong staffing numbers, unstable workforce, and serious inspection findings, weigh those together.
Clark-Lindsey Village runs a small 25-bed unit, and its nurse staffing is genuinely strong, 6.56 hours per resident day, roughly 70% above the national average, with a weekend dip of only about 8% versus weekdays. The trouble sits elsewhere. Its inspection record shows 32 deficiencies, including four at the harm or jeopardy level and seven tied to abuse, plus three fines totaling $129,850, and its last inspection was February 2025. Staffing can look good on paper while a building still accumulates serious, harm-level citations; here the quality and inspection ratings both sit at 2 out of 5. As a nonprofit, it answers to a board rather than shareholders, but that doesn't erase what those deficiencies describe.
Westminster Village runs a five-star staffing operation, 4.20 nurse hours per resident day, roughly 9% above the national average, and its 36.5% turnover beats the 45.8% national figure, meaning the people caring for residents tend to stick around. Weekends thin out about 14% below weekday levels, a gap worth asking about. The concerns sit elsewhere: 28 deficiencies on the current record, including 2 at harm or jeopardy level and 3 abuse-related, with one fine of $12,149. A 3/5 inspection rating and a last visit in April 2024 round that out. Strong staffing, real compliance problems, that's the tradeoff here.
Hammond-Henry runs a tight ship on staffing, 3.76 nurse hours per resident day, close to the national mark, and turnover at 40% actually beats the typical 45.8%. The catch is weekends, when coverage drops about 11% below weekday levels, and a health inspection record that's harder to defend: eight deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $75,020 fine. That September 2024 inspection is recent enough to still carry weight. The quality and staffing scores look strong on paper, but the survey history is where the real risk sits. For a 38-bed home, that's a lot of regulatory attention. Ask about weekend coverage and what changed since last fall.
Oregon Living and Rehabilitation Center is a for-profit limited liability operation with 104 certified beds, and its federal staffing rating sits at the bottom of the scale, one out of five stars. That staffing picture matters given the record: 39 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse. The quality measure rating is two stars, and the last inspection was September 11, 2025, so the findings are current rather than stale. If you're weighing this home for someone you care about, the staffing number and the abuse-related deficiencies are the two things worth asking the administrator about directly before making a decision.
Mclean County Nursing Home is county-owned, which usually means slower decision-making but also no private-equity pressure to cut corners. The staffing numbers back that up: 4.07 nurse hours per resident day, about 5% above the national average, though weekends drop roughly 19% below weekday coverage. Turnover sits at 41.1%, a bit better than the 45.8% national figure. What pulls the record down is the inspection side, 31 deficiencies on file, five of them abuse-related, and a 2/5 health inspection rating, even with no harm-level citations. The last full inspection was in August 2025, so the record is current. Good daily staffing, thinner weekends, and a paper trail that needs watching.
Frequently asked questions
How many independently owned nursing homes are there in the United States?
There are 4,510 independently owned Medicare-certified nursing homes in the United States, 31% of the 14,697 nursing homes there.
Are independently owned nursing homes better staffed?
In the United States they average 4.25 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.39 hours. Staff turnover averages 43.3% against 45.8%.
Which independently owned nursing home grades best in the United States?